Analysis: Administration’s plans on drug pricing faced recent multiple setbacks
In the face of recent, multiple setbacks on the Trump administration’s proposals for drug pricing, the administration could move aggressively forward on its anticipated International Pricing Index Model for Part B drugs proposal.
Rural-state hospitals hail changes to Medicare wage index
Rural-state hospitals strongly back a proposed Medicare area wage index (AWI) change, but national hospital advocates are warning against it.
Is healthcare’s focus shifting from value to pricing?
Federal policy advisers see a shift from value-based payment to policies focused on cutting provider payments.
CMMI chief: Administration’s value push will continue if ACA struck down
The senior government official in charge of creating value-based payment models said the Trump administration’s commitment to such models would continue even if the law authorizing his office is struck down in an ongoing court challenge.
How hospitals saved $1,000 per case in a mandatory bundle
Several hospital approaches were key to obtaining savings of nearly $1,000 per episode in Medicare’s first mandatory bundled payment model.
Where the future in healthcare already exists
Providers may be able to learn from providers and health plans already implementing many of the innovations that leaders say are needed to lower costs and improve care.
Papaya wins HFMA Virtual Pitch contest
HFMA Annual Conference attendees voted Papaya the winner of the Virtual Pitch contest.
Little progress seen in mitigating prior-authorization challenges
Prior-authorization challenges appear to be worsening for providers, despite a 2018 payer-provider effort to address such problems.
Analysis: Employers are not a monolithic block on Medicare for All
If struggles to control healthcare costs continue, more U.S. employers may change their positions in favor of Medicare for All.
DHG Healthcare: Optimizing CDI for Bundled Payment Arrangements
A discussion of common clinical documentation gaps that organizations pursuing bundled payment arrangements must close and key strategies for addressing these issues.